Foreign Assistance: Combating HIV/AIDS in Developing Countries
NSIAD-92-244
Published: Jun 19, 1992. Publicly Released: Jun 24, 1992.
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Highlights
Pursuant to a congressional request, GAO reviewed the Agency for International Development's (AID) response in developing countries to the human immunodeficiency virus (HIV), the virus that causes acquired immune deficiency syndrome (AIDS), to assess: (1) the priority AID places on AIDS prevention; (2) the AID implementation strategy; (3) whether AID has evaluated the disease's impact on its other development programs; and (4) the management, implementation, and oversight of the AIDS Technical Support Project.
Recommendations
Recommendations for Executive Action
| Agency Affected | Recommendation | Status |
|---|---|---|
| U.S. Agency for International Development | The Administrator, AID, should expedite the completion of the planned study to examine the effects of HIV/AIDS on overall development. |
Closed – Implemented
The Assistant Director of the HIV/AIDS program stated the AID-funded studies by ABT Associates on the socioeconomic impact of HIV/AIDS on Kenya and Thailand have been completed. Additionally, AID has completed other studies such as the study that reviewed the socioeconomic impact of HIV/AIDS on households in Tanzania.
|
| U.S. Agency for International Development | The Administrator, AID, should update the 1987 policy, develop an agencywide strategy for implementing this policy, and formally incorporate HIV/AIDS issues into program and budget planning processes. |
Closed – Implemented
The Policy Directorate is responsible for drafting this document. The HIV/AIDS division continues to work with the Directorate. The policy was rewritten by the AID policy offices and is expected to be released in October 1994.
|
| U.S. Agency for International Development | The Administrator, AID, should: (1) confirm a list of priority countries for HIV/AIDS prevention assistance under AIDS Control and Prevention (AIDSCAP); (2) develop a standardized set of indicators for use in evaluating program impact; and (3) seek ways for satisfying the increased demand for condoms expected to be generated by the AIDSCAP project. |
Closed – Implemented
AID is developing systems to meet the requirements of the recommendations. AIDSCAP has identified 12 priority countries with the concurrence of the regional bureaus. AID continues to work with WHO/GPA on the final stages of field testing indicators. The agency is accessing the increased demand for condoms and ways to meet projected increases in condom demand. AID developed a list of priority countries and developed standard indicators. AID HIV/AIDS program condom needs are being met. HIV/AIDS programs have matured and missions are ordering condoms and contraceptives. AID purchased $40 million worth of condoms for the program and WHO/GPA provided another $1 million worth of condoms to meet emergency needs. AID is keeping up with the demand for condoms. AID no longer supplies condoms to Bangledesh and Pakistan for political reasons. Since half of AID condoms went to those two countries, AID now has more condoms for the HIV/AIDS program.
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AIDSAgency missionsDeveloping countriesFederal aid to foreign countriesHealth care programsHealth care servicesHealth statisticsInfectious diseasesInternational relationsMonitoring